Mr Cody Randy Charlton, CRNA in Farmington, NM - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Cody Randy Charlton, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Farmington, New Mexico. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Citizens Medical Center County Of Victoria, San Juan Regional Medical Center, Inc. and his current practice location is 801 W Maple St, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 609-2258.

Mr Cody Randy Charlton is licensed to practice in Texas (license number AP127707) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720182710.

Contact Information

	Mr Cody Randy Charlton, CRNA
	801 W Maple St, Farmington, NM 87401-5630
	(505) 609-2258
	(505) 609-2259

Map and Direction

Provider's Profile

Full Name	Mr Cody Randy Charlton
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	801 W Maple St, Farmington, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Cody Randy Charlton graduated from nursing school in 2015

NPI Data:

NPI Number: 1720182710
Provider Enumeration Date: 09/11/2006
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 8224349279
Enrollment ID: I20150618000185

Medical Identifiers

Medical identifiers for Mr Cody Randy Charlton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720182710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CRNA-01505 (New Mexico)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	5130028-4406 (Utah)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP127707 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Juan Regional Medical Center	Farmington, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Citizens Medical Center County Of Victoria	3577785096	94
San Juan Regional Medical Center, Inc.	4587559505	183

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Cody Randy Charlton allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

Entity Name	Citizens Medical Center County Of Victoria
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205242088 PECOS PAC ID: 3577785096 Enrollment ID: O20141117000499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Cody Randy Charlton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Cody Randy Charlton, CRNA Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056	Mr Cody Randy Charlton, CRNA 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2258

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Farmington, NM

Christopher Gary Reitmeier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259
Barbara S Kamps, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 950 W Pinon, Farmington, NM 87401 Phone: 505-427-1794 Fax: 505-327-5355
Daniel Herring, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Tyler Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6648 Fax: 505-609-2259
Laura Chase, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Adam Russell Penrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
James L Thurston, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-419-4365

Mr Cody Randy Charlton, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Farmington, NM